| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.64 | $372.77 | $372.77 | |
Aetna
| Professional | $183.90 | $186.38 | $198.81 | |
CareSource
| Facility | $335.49 | $1,397.87 | $6,709.78 | |
CareSource
| Professional | $298.20 | $335.49 | $119,998.80 | |
Cigna
| Facility | $201.91 | $483.74 | $745.46 | |
Cigna
| Professional | $1,197.82 | $1,197.82 | $1,197.82 | |
Highmark BCBS
| Facility | $466.52 | $466.52 | $466.52 | |
United
| Professional | $104.37 | $124.26 | $335.49 |